Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )


Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2179200
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: OM kapoor
Mother's Name: Rachana kapoor
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 May 2003 Nationality: Indian
Place of Birth: Bareillly Personal Identification Mark: Cut mark on forehead
Blood Group: O +  
Date of Birth (DD/MM/YY): 20 May 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Om kapoor Passport No.: U2817055
Date of Expiry: 24 Jan 2031 Place of Issue: Bareillly
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
Address for Communication: 47-A umang part-1 Mahanagar colony Bareillly
State: Uttar Pradesh Country: India
Pin: 243006 City/District: Bareillly
Mobile no: 8630991661 Telephone No. with STD code:
Aadhar Card No:364862528178 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Amit kapoor Relationship with candidate: Father
Parents Date of Birth: 10 Feb 1996 Parent's/Guardian's Occupation/Designation: Govt. servant
Office Address:
Address: Sbi Bahedi
Country: India State: Uttar Pradesh
City/District: Bareillly Pin: 243005
Tel: Mobile no.: 9458826007
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Grm School: Grm
City: Bareillly City: Bareillly
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: 47-A umang part-1 mahanagar colony , bareillly
  Centre code:
  Pin: 243006
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing various sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As i personally feel and thought that all courses have bright future
Why do you wish to join TMI?: For best education
What are your hobbies?: Playing cricket
What are your strengths?: My family
What are your weaknesses?: I have trouble saying No
How do you intend to meet the expenses of this program?: Bank Loan,Other - Own resources
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

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